LCSRA Game Report for U9 to U19:

*Required Fields
*Game# *Date: *Level:
*Referee# / Name: AR1# /Name: AR2# /Name:
*Home: *Visitor: *Field:

Goals Scored

Home
Visitor
# / Player / Time
# / Player /Time

Cautions & Send-Offs

Home
Visitor
# / Player / C or S / Reason /Time
# / Player / C or S / Reason /Time

CautionsSend Offs
1. Unsporting Behavior1. Serious Foul Play
2. Dissent2. Violent Conduct
3. Persistent Infringement3. Spits at any person
4. Delays the restart of play4. Denies an obvious goal by handling the ball
5. Leaves the field of play without authorization5. Denies an obvious goal scoring opportunity
6. Enters the field of play without authorization6. Uses offensive, insulting or abusive language
7. Not providing the proper distance for free kicks7. Receives a second caution in the same match
or corner kicks

Comments (Only for field conditions and game situations, i.e. purpose of caution or ejection):

Final Score:    to                                  In favor of:   

*Submitted By: *Date: *E-Mail:

Print prior to submitting